title: Acute thoracic epidural hematoma following spinal manipulative therapy: case report and review of the literature.
abstract: Spinal epidural hematoma is a rare complication of chiropractic manipulation. This study reports a case of thoracic spinal epidural hematoma following spinal manipulative therapy in the absence of predisposing factors. The effectiveness and safety of chiropractic treatment in chronic spinal pain and a literature review are also presented.
authors.affiliation: Division of Trauma, Department of Surgery, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
authors.forename: Tsung-Han
authors.initials: TH
authors.lastname: Lee
authors.forename: Chih-Feng
authors.initials: CF
authors.lastname: Chen
authors.forename: Tao-Chen
authors.initials: TC
authors.lastname: Lee
authors.forename: Hsiang-Lin
authors.initials: HL
authors.lastname: Lee
authors.forename: Cheng-Hsien
authors.initials: CH
authors.lastname: Lu
mesh_terms: D000328:Adult; D005260:Female; D046748:Hematoma, Epidural, Spinal / Q000209:etiology* / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D026882:Manipulation, Chiropractic / Q000009:adverse effects*; D020393:Manipulation, Spinal / Q000009:adverse effects*; D019635:Neurosurgical Procedures; D020127:Recovery of Function; D013904:Thoracic Vertebrae / Q000473:pathology / Q000601:surgery